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General NPI Number Information
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NPI Number | 1912634593
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Entity Type | Individual
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Provider Name | ISAAC OFORI AMANFO
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Gender | Male
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 59 HOSPITAL RD
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City | NEWNAN
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State | GA
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Zip | 30263-1209
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Country | US
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Telephone | 678-423-4610
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Fax | 770-830-2266
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Provider Business Mailing Address
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Address Line | 59 HOSPITAL RD
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City | NEWNAN
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State | GA
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Zip | 30263-1209
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Country | US
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Telephone | 678-423-4610
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Fax | 770-830-2266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 307838
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 200607
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN265613
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61572854
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN265613
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License Number State | GA
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